N.J. Admin. Code § 13:36-1.9

Current through Register Vol. 56, No. 24, December 18, 2024

Section 13:36-1.9 - Statement of Funeral Goods and Services Selected

(a) When making preneed and/or at need funeral arrangements, as defined in N.J.A.C. 13:36-11.1, the practitioner shall compile a Statement of Funeral Goods and Services Selected. The statement shall be on a preprinted, single-sided sheet of paper that is at least 81/2 inches by 11 inches, but no more than 81/2 inches by 14 inches, and shall include at least the following information:

1. The full name of the funeral home, address, telephone number, manager's name, title and license number, and funeral file number, whether the statement is being completed for an at need arrangement or a preneed arrangement, as defined in N.J.A.C. 13:36-11.1, or for a price quotation only, and the language "This statement is subject to change by agreement of the parties";

2. The full name, legal address, date of birth, date and place of death, and sex of the decedent;

3. The name and address of the consumer making the funeral arrangements and the date the arrangements are made;

4. The following disclosures:

i. "Charges are only for those items that you selected or that are required. If we are required by law or by a cemetery or crematory to use any items, we will explain the reasons in writing below." and

ii. "If you selected a funeral that may require embalming, such as a funeral with viewing, you may have to pay for embalming. You do not have to pay for embalming you did not approve if you selected arrangements such as a direct cremation or immediate burial. If we charged for embalming, we will explain why below."

5. Estimated charges;

6. All charges relative to the funeral, broken down into at least the five general categories set forth in (c) below, with subtotals and grand totals as indicated;

7. Cash disbursements paid by the family; and

8. The funeral record number as required by N.J.A.C. 13:36-1.8(b).

(b) Promissory notes, contracts, payment terms, and other non-related items shall not be included on the Statement of Funeral Goods and Services Selected.

(c) All charges relative to the funeral shall be categorized as follows and the Statement of Funeral Goods and Services Selected shall contain the following information:

STATEMENT OF FUNERAL GOODS AND SERVICES SELECTED

Charges are only for those items that you selected or that are required. If we are required by law or by a cemetery or crematory to use any items, we will explain the reasons in writing below.

I. PROFESSIONAL SERVICES
Basic Services of Funeral Director and Staff	$
Embalming (including use of preparation room and sanitary care)
If you selected a funeral that may require embalming, such as a
funeral with viewing, you may have to pay for embalming. You do
not have to pay for embalming you did not approve if you
selected arrangements such as a direct cremation or immediate
burial. If we charged for embalming, we will explain why below.
Other preparation of the body	$
Other (specify)
Professional Services TOTAL	$
II. OTHER STAFF AND RELATED FACILITIES
Use of facilities and staff for:
Visitation (viewing)	$
Funeral Ceremony
Memorial Service
Use of Equipment and Staff for:
Graveside Service (including accompaniment of remains to
place of final disposition)
Other (specify)
Other Staff and Related Facilities TOTAL	$
Transfer of Remains to Funeral Home	$
Hearse
Limousine
Other (specify)
Transportation TOTAL	$
OPTIONAL PACKAGED SERVICES
1. Direct Cremation	$
2. Immediate Burial
3. Forwarding Remains
4. Receiving Remains
|(If you select an optional package, see General Price List for a
|list of included services.)
Optional Packaged Services TOTAL	$
IV. MERCHANDISE	$
Casket or Alternative Container:
Manufacturer
Model
Type of material
Interior material	$
Vault/Outer Burial Container:
Manufacturer
Model
Type of material
Other (specify)
Merchandise TOTAL	$
FUNERAL HOME CHARGES TOTAL (I-IV & Packaged Services)	$
V. CASH DISBURSEMENTS (Estimated)
Disposition: State permit and filing fees	$
Certified copies of death certificate #____ @ $ _____
Cemetery or crematory
Officiant and/or place of worship
Music (specify)
Obituary charges
Other cash disbursements (specify)
Cash disbursements TOTAL	$
TOTAL OF ESTIMATED CHARGES (I-V & packaged services)	$
GRAND TOTAL OF ESTIMATED CHARGES	$

IF ANY LAW, cemetery or crematory requirements have required the purchase of any of the items listed above, the law or requirement is described below:

...

Relationship to Decedent

Street Address

City, State, Zip Code

(d) A practitioner who offers the Optional Packaged Services and has that offer accepted by a consumer shall not be required to detail the charges for Categories I through III set forth in (c) above. It shall not be mandatory for practitioners to include the category of "Optional Packaged Services" on the Statement of Funeral Goods and Services Selected if they do not offer for sale the services of Direct Cremation, Immediate Burial, Forwarding of Remains, and/or Receiving of Remains, or to include the "Price Reduction" category, if this category is not utilized by practitioners. A practitioner shall not include any charges for Category V cash disbursements in any Optional Packaged Services. If a price reduction is offered, a practitioner shall disclose such reduction on the Statement of Funeral Goods and Services Selected as "PRICE REDUCTION............$."...." on the line immediately above "GRAND TOTAL OF ESTIMATED CHARGES "

(e) Immediately upon completing the Statement of Funeral Goods and Services Selected the practitioner and the consumer shall sign and date the Statement where indicated. If the consumer refuses to sign the Statement, the practitioner shall note on the signature line of the Statement that the consumer refused to sign. The practitioner shall immediately provide a copy to the person for whom the Statement was prepared.

(f) Any change, addition or deletion authorized by the purchaser after the completion of the Statement of Funeral Goods and Services Selected shall be included on the final bill.

(g) A practitioner may utilize a photocopy of the Statement of Funeral Goods and Services Selected contained in Appendix A, incorporated herein by reference, to satisfy the requirements of this section. A practitioner may fill in blank lines to customize the goods and services provided. If a practitioner does not use the chapter Appendix A, the practitioner must use a Statement of Funeral Goods and Services Selected that includes all of the required information and disclosures and follows the same basic format as the chapter Appendix A.

N.J. Admin. Code § 13:36-1.9

Amended by 51 N.J.R. 880(b), effective 6/3/2019